title: How to integrate the electronic health record and patient-centered communication into the medical visit: a skills-based approach.
abstract: BACKGROUND
  Implementation of the electronic health record (EHR) has changed the dynamics of doctor-patient communication. Physicians train to use EHRs from a technical standpoint, giving only minimal attention to integrating the human dimensions of the doctor-patient relationship into the computer-accompanied medical visit.
  
  
  METHODS
  This article reviews the literature and proposes a model to help clinicians, residents, and students improve physician-patient communication while using the EHR.
  
  
  RESULTS
  We conducted a literature search on use of communication skills when interfacing with the EHR. We observed an instructional gap and developed a model using evidence-based communication skills.
  
  
  CONCLUSIONS
  This model integrates patient-centered interview skills and aims to empower physicians to remain patient centered while effectively using EHRs. It may also serve as a template for future educational and practice interventions for use of the EHR in the examination room.
authors.affiliation: a Department of Medicine, Division of General Internal Medicine , Drexel University College of Medicine , Philadelphia , Pennsylvania , USA.
authors.forename: Pamela
authors.initials: P
authors.lastname: Duke
authors.forename: Richard M
authors.initials: RM
authors.lastname: Frankel
authors.forename: Shmuel
authors.initials: S
authors.lastname: Reis
mesh_terms: D003142:Communication; D057286:Electronic Health Records; D006801:Humans; D009819:Office Visits; D010817:Physician-Patient Relations; D018511:Systems Integration